Patient presented post fall with arm in fixed abducted position.
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Inferior dislocation of the right glenohumeral joint (otherwise known as luxatio erecta).
Luxatio erecta accounts for less than 1% of all glenohumeral dislocations. Clinically an inferior dislocation is unique, patients will present with the affected arm in a fixed abducted position.
Yet radiographically the anterior-posterior protection can easily mimic a subglenoid anterior dislocation - making it imperative to always obtain orthogonal views of the suspected dislocation. The current literature suggest that with formal follow up the long term results of treatment is positive.
- Groh GI, Wirth MA, Rockwood CA. Results of treatment of luxatio erecta (inferior shoulder dislocation). J Shoulder Elbow Surg. 2010;19 (3): 423-6
- Begaz T, Mycyk MB. Luxatio erecta: inferior humeral dislocation. J Emerg Med. 2006;31 (3): 303-4.